
<!DOCTYPE html>
<html>
<head>
<title>Formularios | BETRANS</title>
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  <link rel="stylesheet" type="text/css" href="main.css"/>
  <link rel="stylesheet" type="text/css" href="ceGrid.css"/>
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<meta charset="UTF-8">
	<title></title>
	<meta charset="utf-8">

</head>

<body>
	<?php
$cedulaEstudiante = $_REQUEST['cedest'];
//$cedGF = $_REQUEST['cedGF'];
?>

<button class ="btn" id= "atras" type="button" onclick="javascript: location.href='../Menu.php'">Regresar</button>
	<h2 align="center">Formulario pag 2 <br> Grupo Familiar</h2>


		

	<div id="content-mt">

			<form type="submit" method="POST" action="procesarPag2.php">
		<fieldset style="height:300px;width:400px;float:left;"> 
			<label>Cedula: </label>
			<input type="text" name="cedula" id="cedula" style="margin-left:70px"placeholder=""/><br><br>
			<label>Nombre: </label>
			<input type="text" name="nombre" id="nombre" style="margin-left:65px"placeholder=""/><br><br>
			<label>Primer Apellido: </label>
			<input type="text" name="ap1" id="ap1" style="margin-left:25px" placeholder=""/><br><br>
			<label>Segundo Apellido: </label>
			<input type="text" name="ap2" id="ap2" style="margin-left:120px" placeholder=""/><br><br>
			<label>Cédula Est: </label>
			<input type="text" name="id" id="id" value="<?php echo $cedulaEstudiante; ?>" style="margin-left:50px"placeholder=""/><br><br>
			<label>Parentesco: </label>
			<input type="text" name="parentesco" id="parentesco"style="margin-left:50px"placeholder=""/><br><br>
			<label>Edad: </label>
			<input type="text" name="edad" id="edad"style="margin-left:84px"placeholder=""/><br><br>
						<label>Estado Conyugal: </label>
			<input type="text" name="estConyugal" id="estConyugal"style="margin-left:120px;"placeholder=""/><br><br>
		
		 </fieldset>
		<fieldset style="height:300px;float:right;" > 
				<label>Estudia?: </label>
			<input type="text" name="estudia" id="estudia" style="margin-left:65px;"placeholder=""/><br><br>
			<label>Beca?: </label>
			<input type="text" name="beca" id="beca" style="margin-left:80px;"placeholder=""/><br><br>
			<label>Escolaridad: </label>
			<input type="text" name="escolaridad" id="escolaridad"style="margin-left:125px;" placeholder=""/><br><br>
			<label>Ocupación: </label>
			<input type="text" name="ocupacion" id="ocupacion"style="margin-left:55px;" placeholder=""/><br><br>
			<label>Ingreso Mensual: </label>
			<input type="text" name="ingmensual" id="ingmensual" style="margin-left:130px;"placeholder=""/><br><br>
			<label>Es Jefe de Familia?: </label>
			<input type="text" name="esjefe" id="esjefe"style="margin-left:130px;" placeholder=""/><br><br>
			<label>trabaja?: </label>
			<input type="text" name="trabaja" id="trabaja"style="margin-left:75px;" placeholder=""/><br><br>
			<label>Condición Laboral?: </label>
			<input type="text" name="condlaboral" id="condlaboral" style="margin-left:130px;"placeholder=""/><br><br>
			
		</fieldset> <center><br>
				<input type="submit" name="ingresar" id="ingresar" value="ingresar"/>
			</form>

			<form type="submit" method="POST" action="procesarPag2.php">
				<input type="text" name="cedest" id="cedest" value="<?php echo $cedulaEstudiante; ?>" style="margin-left:70px"placeholder="" hidden/><br>
			<input type="submit" name="irPagback1" id="irPagback1" value="irAtras"/>
			</form>

			<form type="submit" method="POST" action="procesarPag2.php">
				<input type="text" name="cedest"  id="cedest" value="<?php echo $cedulaEstudiante; ?>" style="margin-left:70px"placeholder="" hidden/><br>
			<input type="submit" name="irPag3" id="irPag3" value="IrPag3"/>
	<!-- 		</form>
				<form type="submit" method="POST" action="procesarPag2.php">
				<input type="text" name="cedest"  id="cedest" value="<?php echo $cedulaEstudiante; ?>" style="margin-left:70px"placeholder="" hidden/><br><br><br><br>
			<input type="submit" name="editarPersonaAnterior" id="editarPersonaAnterior" value="Editar Persona Anterior"/>
			</form> -->
	</center>


	</div>

</body>
</html>